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Children's Health Alliance of Wisconsin. n.d.. Dental sealant permission slip—template. Milwaukee, WI: Children's Health Alliance of Wisconsin, 5 pp.

Children's Health Alliance of Wisconsin
620 South 76th Street, Suite 120
Milwaukee, WI 53214

Telephone: (414) 292-4000
Secondary Telephone: (414) 337-4561
Fax: (414) 231-4972
Website: https://www.chawisconsin.org/

This template can be used to develop a permission slip to obtain consent from parents for their child to receive dental sealants as well as other related preventive oral health services from a school-based dental sealant program. The template can be customized with the program name and other information. Space to provide additional information that parents would like the program to know is included. The permission slip template is available in Arabic, Burmese, English, Hmong, and Spanish.


California Dental Association. 2017. Oral health fact sheets. Sacramento, CA: California Dental Association, multiple items (1 p each).

California Dental Association
1201 K Street, 14th Floor
Sacramento, CA 95814

Telephone: (800) 232-7645
E-mail: contactcda@cda.org
Website: http://www.cda.org
Available from the website.

These fact sheets for consumers provide information on a variety of oral health topics. Topics include dental benefit coverage, dental caries, fluoride, general anesthesia and oral sedation, gum disease, mouthguards, nutrition, oral cancer, oral piercing, pregnancy, sealants, smokeless tobacco, and xylitol. The fact sheets are available in English, Chinese, Hmong, Russian, Spanish, and Vietnamese.


Minnesota Oral Health Coalition. 2016. Fluoride varnish: A part of a healthy child. Plymouth, MN: Minnesota Oral Health Coalition, 1 video (2 min, 16 sec).

Minnesota Oral Health Coalition
4190 Vinewood Lane N, #111-416
Plymouth, MN 55442

Telephone: (763) 381-1701
E-mail: info@minnesotaoralhealthcoalition.org
Website: https://www.minnesotaoralhealthcoalition.org
Available from the website.

This video for parents describes fluoride varnish and how it is used to prevent tooth decay in infants and children. Topics include what fluoride varnish is, how it works, and why it is important for infants’ and children’s health. Information about the safety and effectiveness of fluoride varnish and the importance of establishing an oral hygiene routine that includes regular oral health visits is included. The video is available in English, French, Hmong, Karen, Oromo, Russian, Somali, and Spanish.


Minnesota Oral Health Project. 2015–. Crush Cavities!. Minneapolis, MN: Minnesota Oral Health Project, multiple items.

Minnesota Oral Health Project
c/o University of Minnesota Minneapolis, MN 55455

E-mail: MNOralHealthProject@gmail.com
Website: http://www.minnesotaoralhealthproject.com
Available from the website.

This website includes resources designed to help primary care health professionals and others understand the etiology of dental caries and caregivers’ role in preventing caries in infants, children, and adolescents from birth to age 21. Contents include a fluoride-application training course for clinics and supplemental materials, a book for children about toothbrushing, fluoride varnish printed materials, and a fluoride varnish video for caregivers. The resources are available in English and some are available in the following non-English languages: Cambodian, French, Karen, Hmong, Oromo, Portuguese, Russian, Somali, Spanish, and Vietnamese. Find the list of languages across the top of the landing page.


Oregon Health Authority, Oral Health Program. 2014. Brush two minutes twice a day! Keep a healthy grin!. [Portland, OR]: Oregon Health Authority, Oral Health Program, 17 pp.

Oregon Health Authority, Oral Health Program
800 N.E. Oregon Street, Suite 850
Portland, OR 97232

Telephone: (971) 673-0348
Secondary Telephone: (971) 673-0372
Fax: (971) 673-0240
E-mail: oral.health@state.or.us
Website: https://public.health.oregon.gov/PreventionWellness/oralhealth/Pages/index.aspx
Available from the website.

This calendar is designed to assist parents and others in helping children maintain good oral health by tracking the number of times they brush their teeth with fluoridated toothpaste each day and the amount of time they spend brushing. Contents include information on how to brush and the role of dental sealants, flossing, and fluorides in preventing tooth decay. Tips on healthy eating and using mouthguards to prevent oral injuries are also included. The calendar is available in Arabic, English, Hmong, Russian, Spanish, Simplified Chinese, Somali, and Vietnamese.


National Center on Early Childhood Health and Wellness. [2012]. Oral health: Tips for families from the National Center on Early Childhood Health and Wellness. [Elk Grove Village, IL]: National Center on Early Childhood Health and Wellness, 1 p.

Early Childhood Learning and Knowledge Center
Telephone: (866) 763-6481
E-mail: health@ecetta.info
Website: https://eclkc.ohs.acf.hhs.gov
Available from the website.

This document for parents of children enrolled in Head Start programs discusses the importance of good oral health habits for children. It provides tips for brushing teeth twice daily with fluoride toothpaste, helping children learn proper techniques, having healthy snacks, avoiding sugary drinks and foods, and visiting the dentist. The document is available in Amharic, Arabic, Burmese, Chinese, English, Hmong, Somali, Spanish, and Vietnamese.


California Department of Education. 2008. Oral health assessment [packet]. Sacramento, CA: California Department of Education.

California Department of Education
1430 N Street
Sacramento, CA 95814

Telephone: (916) 319-0800
Secondary Telephone: (916) 445-4556
Website: http://www.cde.ca.gov/
Available from the website.

This packet contains information and sample notification and assessment waiver forms used in the oral-health-assessment program for children entering public school in California. The packet provides the legislative history, a guide for funding and district reporting, and sample letters and forms. Materials are provided in English, Arabic, Eastern and Western Armenian, traditional and simplified Chinese, German, Hmong, Japanese, Khmer (Cambodian), Korean, Pilipino (Tagalog), Portuguese (Continental), Punjabi, Russian, Spanish, and Vietnamese. Sample notification letter: Arabic, German, Japanese, Korean, Portuguese (Continental), Russian, Spanish only.


University of the Pacific School of Dentistry and MetLife Dental Advisory Council. [2003]. Dental practice documents [Health history forms and translations]. San Francisco, CA: University of the Pacific School of Dentistry, 4 items.

University of the Pacific School of Dentistry, Arthur A. Dugoni School of Dentistry
155 Fifth Street
San Francisco, CA 94103

Telephone: (415) 929-6400
Fax: (415) 929-6654
Website: http://dental.pacific.edu
Available from the website.

These practice resources for oral health professionals comprise a health history form, a health history interview sheet, a medical consultation form, and a document describing how to use the forms. The health history form is available in Albanian, Arabic, Armenian, Bengali, Bosnian/Serb/Croatian, Burmese, Cambodian, Chinese, Creole, English, Farsi, Finnish, French, German, Greek, Gujarati, Hebrew, Hindi, Hmong, Hungarian, Italian, Japanese, Korean, Laotian, Norwegian, Polish, Portuguese, Punjabi, Romanian, Russian, Spanish, Swedish, Tagalog, Thai, Turkish, Ukranian, Urdu, Vietnamese, Yiddish, and Yoruba.


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